| NPI | 1790844272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301063397) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301063397) |
| 208D00000X General Practice (Licence: MI 4301063397) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-08-18 |